2a Anatomy Terminology; Overview of organs of elimination and functions. Waste products. Whole of gastro-intestinal system anatomy and structure: Abdominal anatomy - gut, liver, kidneys, spleen, ovaries, uterus, fallopian tubes, prostate. Pouch of Douglas ; Abdominal musculature; Blood vascular system; hepatic portal system; Lymphatics. Detailed anatomy of the colon: ICV, caecum, ascending, transverse, descending, sigmoid, rectum, rectal valve, anus. Haemorrhoidal plexus, anal sphincters.
2b Physiology Autonomic nerves: Para- and sympathetic pathways, influence on organs wrt. bowel and gut. Mesenteric nerves - functions; Hormonal & neurological influence on nerves and peristalsis. Nitrous oxide and nitrous oxide synthase; Neurological reflexes: ortho-colic, gastro-colic and others. Motility: How the bowel moves, 24 hour motility traces; Brief introduction to motility abnormalities (hyper and hypo); introduction to radiological interpretation of X-rays and CT scans; Functions of the colon.
2c Tests Blood pressure; Abdominal palpation; Auscultation; Percussion; Digital rectal exams. Laboratory tests: Stool tests for digestion, parasites, etc. plus interpretation.
3. DISEASE STATES
3a Organic Diseases of the Colon Aetiology and symptoms of; Inflammatory diseases: Ulcerative colitis, Crohn's disease. Appendicitis; Diverticulosis/itis; Fissures; Haemorrhoids; CA colo-rectal Conventional diagnostic methods of above, and orthodox treatments. Complementary treatment protocols for above, incl. colonics.
3b Functional Conditions of the Colon IBS; Constipation; ICV problems; Adhesions; Hernia Diagnosis, symptoms, and orthodox/complementary treatment of the above.
3c Discussion on causation of the above
3d Stool types Bristol chart; Significance of colour, texture and form.
4b Absolute contra-indications Elevated B.P.; Malignancy; Inflammation; etc.
4c Relative contra-indication Pregnancy; etc.
4d Spiritual & Emotional
4e Special precautions for treating children
5. EQUIPMENT AND CLINIC SET-UP
5a Water filtration what can be removed, importance of, suppliers
5b Gravity systems room layout, diagrams, water heating, plumbing, resources
5c Machines suppliers, room layout, plumbing
5d Diagram of treatment room set-up
6a The importance of adequate disinfection and sterilisation of re-usable equipment Recommended sterilants, their use and procedure; Autoclaves; The importance of removing macroscopic debris; Soaking times; Tubing; ARCH recommendations.
6b Disinfection of machines (Refer to suppliers handbooks)
6c Sanitation Cleaning of therapy room, washroom facilities, gowns, towels, etc.
7. CLIENT HANDLING
7a Booking and reception
7bCase history taking - uniform case history form; detailed discussion on main points; provision of uniform case history forms
7cReferrals from other practitioners - Protocol. Reporting